Evidence map›Paper›PMID 17682658›Full record

ArticleSleep2007

Chronic insomnia as a risk factor for developing anxiety and depression.

Dag Neckelmann, Arnstein Mykletun, Alv A Dahl

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 258 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
258citing papers in PubMed, 6 pooled it
24.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

258 citing papers in PubMed, 6 syntheses or guidelines pooled it, 661 citations in OpenAlex.

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  4. Antidepressants for insomnia in adults.The Cochrane database of systematic reviews · 2018
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  7. Examining fronto-limbic brain and sleep mechanisms of antidepressant effects in cognitive-behavioral therapy for insomnia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  8. Improving Sleep with Far-Infrared-Emitting Pajamas: A Pilot Randomized Controlled Trial.International journal of environmental research and public health · 2023
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198 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Dag NeckelmannDepartment of Psychiatry, Clinic ofPsychosomatic Medicine, Haukeland University Hospital, Bergen, Norway. dag.neckelmann@helse-bergen.no
Arnstein Mykletun
Alv A Dahl
Haukeland University Hospital · NOUniversity of Bergen · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo study prospectively the relations of insomnia to the development of anxiety disorders and depression in a population-based sample.

designCohort study based on data from 2 general health surveys of the adult population.

settingTwo general health surveys in the adult population in Nord-Trøndelag County of Norway, HUNT-1 performed in 1984-6 and HUNT-2 in 1995-7

participantsParticipants without significant anxiety and depression in HUNT-1 were categorized according to the presence and absence of insomnia in the 2 surveys (N=25,130). MEASUREMENTS AND

resultsAnxiety disorders and depression in HUNT-2 were assessed by the Hospital Anxiety and Depression Scale and analyzed using multivariate logistic regression analysis adjusted for age, gender, education, comorbid depression/anxiety, and history of insomnia. Anxiety disorders in HUNT-2 were significantly associated with the group with insomnia in HUNT-1 only (OR 1.6; 95% CI, 1.1-2.3), the group with insomnia in HUNT-2 only (OR 3.4; 95% CI, 3.1-3.8), as well as with the group with insomnia in both surveys (OR 4.9; 95% CI, 3.8-6.4). Depression in HUNT-2 was significantly associated with the group with insomnia in HUNT-2 only (OR 1.8; 95% CI, 1.6-2.0), but not with the groups with insomnia in HUNT-1 only or with insomnia in both surveys.

conclusionsOnly a state-like association between insomnia and depression was found. In addition to being a state marker, insomnia may be a trait marker for individuals at risk for developing anxiety disorders. Results are consistent with insomnia being a risk factor for the development of anxiety disorders.

Indexed as

AdultAgedAnxiety DisordersChronic DiseaseDepressive DisorderFemaleHumansMaleMiddle AgedRisk FactorsSleep Initiation and Maintenance DisordersSurveys and Questionnaires

Identifiers

PMID17682658
PMCPMC1978360
OpenAlexW1526225438

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.